Rovsing's sign
Pronunciation: ROV-singz
Physical examination finding where palpation of the left lower quadrant produces pain in the right lower quadrant, suggestive of appendicitis.
Full Definition
Rovsing's sign is a clinical examination technique used to assess for acute appendicitis, where deep palpation and sudden release of pressure in the left iliac fossa causes pain in the right iliac fossa. This referred pain pattern occurs due to the shift of gas and fluid within the intestines, causing distention of the cecum and stimulation of the inflamed appendix. While not pathognomonic for appendicitis, a positive Rovsing's sign combined with other clinical findings increases the likelihood of acute appendicitis. The sign is part of the comprehensive abdominal examination in patients presenting with right lower quadrant pain.
Usage
Usage note: Document as positive or negative, not simply present or absent.
In Context
- "Physical examination revealed a positive Rovsing's sign along with localized tenderness at McBurney's point." — Emergency surgery consultation
- "The patient demonstrated Rovsing's sign, supporting the clinical suspicion of acute appendicitis." — Clinical assessment documentation